NPI age
19 years
Enumerated 2006-09-15
Across 489 active physical medicine & rehabilitation providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003145928B | |
| 05 (FM) | 003147657A |
Multi-provider organization. 1 individual provider on file at this primary address.
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